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Inspection

HAVS Assessment

Briefly describe the work activities that require workers to use vibrating tools and equipment.

Workers exposed to HAVS risks

WORKER

Full Name

Source of Vibration

TOOL
Select vibrating tool or equipment

Specify vibrating tool or equipment

Vibration Magnitude

Trigger Time

Exposure Points

Exposure Level

Select control of exposure

Specify control of exposure

Completion

Additional Recommendations

Full Name and Signature of Safety Officer

HAVS Assessment Template Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 76

Regular HAVS assessments help prevent the development of HAVS among construction workers. Use this HAVS assessment template to evaluate and control hand-arm vibration risks in a construction site.

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Inspection

HAVS Assessment

Briefly describe the work activities that require workers to use vibrating tools and equipment.

Workers exposed to HAVS risks

WORKER

Full Name

Source of Vibration

TOOL
Select vibrating tool or equipment

Specify vibrating tool or equipment

Vibration Magnitude

Trigger Time

Exposure Points

Exposure Level

Select control of exposure

Specify control of exposure

Completion

Additional Recommendations

Full Name and Signature of Safety Officer